NRSG 790: Methods for Research and Evidence Based Practice Module 5: Problem identification

Getting Started What is the problem? How do we know it exists? Do we see an outcome deficit, or an area for improvement? Avoid the mistake of identifying a solution first, then go in search of a problem Unclear as to the standard? Is one practice better than another? What does the evidence say? Click to learn more

P I C O T PICO Components Patient Population Problem Intervention Comparison with other interventions Outcomes that are measurable P I C O T

Hospitalized Adolescents with Diabetes

What is Your PICO? Hospitalized adolescents with diabetes P An alternative to print (you specify based on research evidence) I Printed education materials C Reduction of HgA1C to target goal O 6-12 months post program T Students are not permitted to use this PICOT for their paper assignments

Construct Well-Built Clinical Questions Background Questions Ask for general knowledge about a disorder How does the problem occur (what is the cause, incidence, prevalence) What are the effects and complications of the problem (physical, social, psychological, economic, health-care system) How do we generally manage the problem? Foreground Questions Ask for specific knowledge about managing a specific effect of the problem What is the best practice intervention to achieve a desired physical, social, psychological, economic, health-care delivery outcome